In one sequence, players can walk through an erotic club containing several phallic sex toys and sexual contraptions. During the course of the game, female characters are sometimes depicted in outfits that reveal large amounts of their breasts/cleavage or buttocks characters are occasionally depicted nude, though their nipples and/or genitalia are obscured by blurry pixels. Damage from certain guns can result in decapitation. Players can also use chainsaws to hack at enemies, resulting in small chunks of flesh and large splatters of blood. One scene prompts players to run over a certain number of pedestrians within a given time another sequence allows players to dispatch enemies by putting grenades in their mouths. Players can also attack pedestrians, and in one mission, players shoot at police and civilians to create chaos in a rival gang's territory. Players use machine guns, shotguns, swords, rocket launchers, and grenades to kill rival gang members.

As players attempt to take over a fictional city and exact revenge on a rival gang, they engage in driving and combat missions to progress the storyline.

This is an open-world action-adventure game in which players assume the role of a criminal syndicate known as the Saints.

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